Dr. Staci Tanouye, MD, FACOG, Gynecologist

01/16/2026

How many families and groups have stories like these? How many centuries should we go back to review our history?

12/05/2025

Is the risk for acquiring Hep B low in infancy? Yes.
Is it zero? No.
Has a universal recommendation for vaccination at birth lowered HBV infection rates? YES



References

1. Guidelines for the Prevention and Treatment of Opportunistic Infections in Children With and Exposed to HIV. Bill G. Kapogiannis, Franklin Yates, Wei Li, et al. Office of AIDS Research Advisory Council (2025).
2. Hepatitis B. Jeng WJ, Papatheodoridis GV, Lok ASF. Lancet (London, England). 2023;401(10381):1039-1052. doi:10.1016/S0140-6736(22)01468-4.
3. Hepatitis B Virus Infection in Children and Adolescents. Indolfi G, Easterbrook P, Dusheiko G, et al. The Lancet. Gastroenterology & Hepatology. 2019;4(6):466-476. doi:10.1016/S2468-1253(19)30042-1.
4. Importance of Perinatal Versus Horizontal Transmission of Hepatitis B Virus Infection in China. Yao GB. Gut. 1996;38 Suppl 2:S39-42. doi:10.1136/gut.38.suppl_2.s39.
5. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. Schillie S, Vellozzi C, Reingold A, et al. MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports. 2018;67(1):1-31. doi:10.15585/mmwr.rr6701a1.

Society for Maternal-Fetal Medicine Consult Series : Hepatitis B in Pregnancy: Updated Guidelines. American Journal of Obstetrics and Gynecology, 2024

Prevalence and Awareness of Hepatitis B Virus Infection in the United States: January
2017 - March 2020
Hepatology Communications, 2023

10/24/2025

This is my confession.

Please tell me I’m not alone! I built a platform on SOCIAL media and have a really hard time being social for extended periods of time! What do all you introverts do to hype yourself up to do these things?

Love you all!

10/16/2025

06/26/2025

Other states will follow their lead.
This is the first step to defunding Planned Parenthood, an organization that provides over 9 million services a year, 96% of which are NOT abortion care. SCOTUS just cut access to essential healthcare to the people who need it most.

01/20/2025

Today is a lot for a lot of people in a lot of different ways

Remembering the legacy of Martin Luther King Jr
while at the same time hoping his legacy will mean something on this day of transition.

Remembering that 7 years ago, I spent this day in a hospital bed recovering from the biggest surgery of my life, while unable to eat my birthday cupcake.

Knowing now that the first surgery would not be my last, and wondering when those cancers will come back.

Being grateful for the handwritten notes and 55 cents Kiran gave me for my birthday this morning, which he was so excited to do, followed by me losing my mind trying to get them to cooperate to get ready and out the door for soccer camp.

I don’t know if it’s a day of irony or juxtaposition or just reality, but it is what it is, and so far I am unimpressed by 43.

12/23/2024

I need you all to understand this about the Matt Gaetz report.

Just because women accepted money for s*x doesn’t mean they aren’t victims of abuse. It also doesn’t mean they are consensual s*x workers. AND when someone pays to have s*x with a minor, they have just paid to r**e a child.

Who TF voted for this guy?!
G**O with your fake concern for the price of eggs.

10/01/2024

Who needs a mammogram?
Can I get one if I’m breastfeeding?

Today is Oct 1 and the first day of

Mammogram screening guidelines can be confusing as several different US medical societies have them, and they are all different. (SWIPE LEFT)

ACOG recommends offering screening mammograms at age 40 and continuing every 1-2 years. National Comprehensive Cancer Network recommends starting yearly at age 40, which is what I and many obgyns tend to follow.

In addition, if you have risk factors that put you at higher risk for breast cancer, you may need to start screening at an earlier age.

If you find a lump or abnormality at any age, it should be evaluated and this may include a diagnostic mammogram.

So can you get a mammogram if you’re breastfeeding?
YES YES and YES!

American College of Radiology supports mammogram screening in lactating people in appropriate clinical contexts. If you are due for your screening mammogram (and definitely if you find a lump) breastfeeding should not prevent getting a mammogram. Simply pump or feed to empty completely right beforehand. There is no need to pump and dump at any time.

I was only 3 months postpartum when I had my first mammogram at the recommended age of 40. At first, the institution where I scheduled it, canceled it and told me I needed to be done with breastfeeding for at least 3 months prior to a mammogram. I was shocked and frankly angry that this was their recommendation!

At the time, I was 40 years old with my 3rd baby, and I had breastfed my 2nd child for over 2 years. I told them their recommendation goes against current guidelines and asked them if they were recommending I wait 2.5 years to start my screening mammograms. I was scheduled pretty quickly after that, and the department promised to review their policies.

Don’t be afraid to advocate for yourself!

📸 @8.08photography

09/20/2024

It’s not the first time I’ve been told to stay out of politics, and it won’t be the last. (I think the comment has since been deleted, not by me)

This question baffles me every single time. What do you think I do for a living? Reproductive health is literally my expertise and my job. And the point I want to stress the most is that if you think this conversation doesn’t affect you - think again.

Abortion care affects EVERYONE.

It affects contraception options, fertility options, medication options, miscarriage care options, and it greatly affects normal prenatal care. It affects EVERYONE.

09/20/2024

This argument is so dishonest.

The 2 things shown to truly decrease abortion rates are comprehensive s*x ed and access to birth control.

Demonizing birth control while simultaneously advocating for abortion bans is a dangerous place which leaves women and reproductive age people with few remaining options.

If people truly wanted to decrease abortion rates, they would put everything into expanding access to all birth control and investing in comprehensive s*x education because that’s what the evidence tells us works.

But they don’t, and we all know why. It’s not about life. It’s about control.



white coat by

09/20/2024

Ok, I wasn’t going to post it because it didn’t come out like I really wanted it to, but it needs to be talked about.

Tuck yourself in, this is a long one. But I really want people to understand what it means when we plan comfort care for a fetus with a lethal anomaly after an early induction of labor (aka abortion care).

Comfort care is compassionate care. If parents have chosen palliative care, then they have done so with careful and painful consideration. Any attempts to go against that plan to attempt to “preserve life” would be cruel. So before you go running your mouth about things you have zero understanding of, maybe ask doctors who care for these patients what this all actually means. Oh wait, that’s right, you don’t actually care about life and compassion. You only care about control - controlling the narrative to control women’s bodies.


scrubs by

09/11/2024

Let’s be clear:
“Execution after birth” or “abortion after birth” is infanticide, has never been legal, will never be legal, no one ever wants it to be legal, and has nothing to do with abortion care.